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� <br />� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 07/28/95 CMWO �: _ <br />Service Addrese: 8811 W MALL DR <br />Billing Yame: SELECT HOMES INC <br />Hilling Addrese: 12811 BTH AVE W A-201 <br />City, State, Zip: EVER513-900G WA 98204 <br />Phone: <br />Legal Description: Lot 16 Blk 0 Addn: ANH�� ofLUnite: 1 <br />Frontage: <br />�]J�l 0 � 1y9�; <br />�'�1�TING <br />chan93 Requestl <br />WATER SERVICE <br />S.O. No. 8656 Application No. <br />Fixed: Y Depoeit: <br />Svc. Size: 3/4 Svc. Type: RES <br />Setter installation Date BY <br />Meter No. Size Brand_ <br />Meter installation Date BY <br />Water On Off_ Locked out_ By_ <br />Remarke:— <br />TSG <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: D'EW CONNECTION LID No.: <br />Syeteme Development Feee: Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarks: <br />30199 <br />4;�.�er Permit Fee: � $105.00 <br />Sewer Permit Fee: <br />5600.00 <br />$1,013.U0 TOTAL: <br />S330.00 <br />$0.00 <br />TOTAL: <br />/ / � <br />Inepected b %.. ���� Date a�--. <br />� �.�,��u�� �> > <br />Grand Total: <br />�� pu� q, 81995 <br />$70.00 <br />$1,613.00 <br />$330.00 <br />�2118.0� <br />"i��.�Y OF �,�����, Public Worke Copy <br />P.l:l�c!in� <br />